Ridgefield Sports Medicine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RIDGEFIELD SPORTS MEDICINE, LLC

Practice address

159 Danbury Rd Unit 105
Ridgefield, CT 06877-3235

Phone

(203) 403-6980

Fax

(203) 403-6172

NPI assigned

Feb 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Betsy A Pulick, DC

Title

Owner

Phone

(914) 760-3655

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1376009472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DANBURY RD UNIT 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773235",
            "telephone_number": "203-403-6980",
            "fax_number": "203-403-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 DANBURY RD UNIT 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773235",
            "telephone_number": "203-403-6980",
            "fax_number": "203-403-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "PULICK",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-760-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356704688",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D400354364",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridgefield Oral and Maxillofacial Surgery, LLC
• Ridgefield Pediatric Associates
• Ridgefield Physical Therapy LLC
• Ridgefield Public Schools
• Ridgefield Sensory Clinic LLC
• Ridgefield Youth Service Bureau Inc
• Rightpro Staffing LLC
• Nicholas Joseph Ritzcovan, D.D.S
• Sabrina A Rizzo, MOT, OTR/L
• Livia Robinson

• Chiropractor in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.